| NPI | 1841705886 |
|---|---|
| Other Name | OTHELLO STATION PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ABDIRAHMAN TACHE Pharm D 253-269-8871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2018-04-17 |